HomeMy WebLinkAbout20160044 Ver 1_Shoreline Stabilization_20160111State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources ISA NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, INC 27699-1617
JAN 1 1 2016
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing Address: No lb4 _Rrm V)S L n vie_
Terrell . NC. Z96aR'2-)
Telephone Number: 419 - 579- 002,5 Fax Number:
E-mail Address:
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htto://www.saw.usace.armv,miI/Portals/59/docs/reRulatory/reRdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: _-SMcich IL an CGL4e_Y-
Company Affiliation: l Q✓l me'lar Cu4pvn _bOcy) 4 L 1 �+'JVT ✓n `�, I ✓1C -
Mailing Address: MM t2 [fie r �h RCA
1v-ou-�-navy NC Z5(Ilnla
Telephone Number:
E-mail Address:
Person to receive the Certification Approval:
Fax Number: 704- 528- .3900
CCZ5 fer clu S
II. Project Information [15A NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SSGP 10-2013 Page 1 of 3
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
and construction access corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
ft
County: l cAaw bQ Nearest Town: Terre ^.'
Subdivision name or site address (include phase/lot number): / or -m vie w
l -la r bo u r // J, -o f- T9
Directions to site - please include road names and numbers, landmarks, etc.: ,-om. 1 77 N
E;;+ N0.u rh l E� onio MC -15-0\4. Turn left ovito PTreenwood -Rd,
1 o
de (in decimal degrees) 35 59 2451 Longitude (decimal degrees)—'?D . T 30,?,Z 9
5. Describe the existing land use or condition of the siteat the I time of this application
(residential, undeveloped, etc.): �e 5 , l 8ey--i � a l
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: /VO'
8. Describe proposed work (include discussion
,1 as to how hardening of shoreline has been
avoided, or why it is necessary): r e O AP. CA eC,c +D 1 Q'
9. Will work be conducted from land? ❑ From water? FA
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres:
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number of trees, for instance): 0
Owner/Agent's Signature Printed Name Date
[15A NCAC 02H .0502(f)]
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3
Lay) e.
R
Norma
SI
Lake
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3
DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit $ Check # Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on-site inspections Date Initials
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By * :
Date Completion Required
Date Passed Closeout Inspection*
(Print)
Date of Any Approved Extension
Initials
Initials
Date
(Sign)
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ❑No (If Yes, explain in PART V)
Date Deposit Refunded Initials Date Permit Database Updated Initials
* Forward copy of approved application (all pages, plus any attachments that Duke Energy changed) back to applicant
with Approval Letter and highlight any changes. File copies of Approval and Close-out Checklists and any Stop Work
Orders with application.
PART I. - APPLICANT INFORMATION (Please Print)
Name � l c _ , G`CJ I_urch
J
(D
Lake Address _- 4 13 ro® e,'
I e r -re I I N C_ ZT(oM
Telephone c419) 579- OD Z
Mailing Address
(If different)
Contractor Companyf1
Contractor Contact Person cnna�1r ® Telephone (704)_5Z B- -74T�
LAKE
^'LOT INFORMATION � /1
Lake / YO etiiR ✓1 CountyGY."1 1 V1( City _7-_ M Ire I � StateAl y Tax Map No
SubdivisionNe)rA d 1 P W / bDUr 1"nLot / Section No. 6 Lot Size /,/4 -Acres
Are there any Co -Applicants*? (check one) ❑Yes 2 o (If Yes, inchide names, addresses, phone nos., lot nos., lot
sizes in PART V - ADDITIONAL INFORMATION) * Co -Applicants exist when the proposed work is being done under a
single application, will be performed by a single contractor as one continuous project and is done to benefit multiple owners /
lease holders of project -front properties within a single development. The check for the application filing fee and security deposit
should be from the party shown as Applicant and not several checks from the Applicant and Co -Applicants.
Do not continue the application until an on-site inspection has been conducted between a Duke Energy Lake Services
Representative (DELSR) and the applicant and/or the excavation contractor. NOTE: Initializing this portion of the
application by a DELSR in no way constitutes approval or eminent approval of the excavation or any other lake use
permitting activity.
LWDate of on-site inspection Initials (Duke Energy) (applicant/contractor)
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DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART II. - DESCRIPTION OF PROJECT
A. BASIC INFO
1. Type of excavation: (check one) �❑New excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) lif7 �Boat Access Channel ❑ Water Intake Channel
❑ //Wastewater Discharge Channel ❑ Other (specify):
3. Lake user category: (check one) 134vate ❑Residential Marina ❑Commercial Marina
❑Public ❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length f7 0 Width O Depth /0
(Note: include additional area dimensions if necessary so response to #5 below equals max. area dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 5 Cubic yards
6. Type of material removed (applicant determines byfteld sample ifpractical):��n V'J Cl �J I fT C 1/
7. Excavation Site area: . Acre (s) Disposal Site area: (D Acre (s)
8. Total Disturbed Area (including equipment staging area):( �3 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one) Pres ❑No
10. Do you claim title to the disposal area? (check one) VYes ❑No
11. Do you claim title to the equipment staging area? (check one) [fes ❑No
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area? (check one) Dyes FKo
(If Yes, specify):
13. How will the excav d mater' I be entr pped and the erosion co tr lled? (e.& see atfached erosion control plan and
disposal area design): IT
14. Type(s) of excavation equipment to be used: !Jc%P A5X oaf,y a L(✓X'D #aC &5
15. Will waters or wetlands be crossed in transporting equipment to or from the site? (check one) Dyes XN0
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) Dyes Po ❑N/A (If Yes, specify point(s) of re-entry and
show on Excavation Area Drawing)
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the excavation? Dyes 13IV0
(If Yes, specify the existing permit number-. If No, include a scaled drawing of the proposed facility). Permit #
18. Tota] planned duration of thework (htchrde first equipment mobilization, excav tion through final mitigation measures
complete): START l l FINISH Z /�
(Month) (Year) (Month) (Year)
Note: Notify Duke Energy Lake Services at 1-800-443-5193 prior to commencing any excavation work within
the project boundary.
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DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART II. (Continued)
B. PROTECTION / AVOIDANCE AREA DESCRIPTION
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
(check all that apply)
Approx.
Identification Method (*)
Avoid (A) or Mitigate (M)
Field ID
Work Area Dwg. ID
Acreage
Ln
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands (circle all
that apply)
V/A
b. Buffer Zones (specify width & source of
reduirement)
-D e W < I l be- don e-
c !
.J p )L.ca a+u r,
U1 oir;LLCY)--).
d "-9
l a�eri iz I Leve led o -W b y
b
c. Environmental Areas as identified by Duke
Energy
�/�
d. Natural Areas as identified by Duke Energy
n/ /A
e. Historic properties (specify)
ilk
L Rare or threatened species (specify)
16A
g. Buried gas, water, sewer, communications
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DUDE ENERGY EXCAVATION PERMIT APPLICATION FORM
Protection/Avoidance Areas
(check all that apply)
Approx.
Identification Method_M
Avoid (A) or Mitigate (M)
Field ID
Work Area Dwg. ID
Acreage
it *
or electric lines (circle)
/1 /
/ V
h. Impact Minimization Zones as identified by
Duke Energy
/
L Other areas requiring specific avoidance,
protection or mitigation (specify)
* For "Field ID" column, specify entity or person that performed the identification and how it was physically marked (e.g. Duke Energy (John Doe)/Pink and purple -dotted tape,
Corps of Eng. (John Smith)/ yellow flagging). For "Work Area Dwg ID" column, show the symbol that is used on the drawings to identify the protection/avoidance area.
** List and attach mitigation plans
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DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
C. APPLICANT'S SIGNATURES
Comments:
Applicant Name (print) 'n 1 c G -f 8 E `� r ( )
Applicant Signature* � L
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Lot # 7~
Date 5- /(0
Lot #
Date
Lot #
Date
Lot #
Date
Lot #
Date
Lot #
Date
*Per my signature, the information provided in this application is correct to the best of my knowledge.
BEFORE YOU MAIL THE APPLICATION TO DUKE ENERGY LAKE SERVICES ENSURE YOU HAVE:
• CHECKED THE INFO THOROUGHLY
• MET ALL REQUIREMENTS FOR A COMPLETE APPLICATION (see cover letter of application package)
• INCLUDED A SINGLE CHECK TO DUKE ENERGY FOR THE APPLICATION FILING FEE AND SECURITY
DEPOSIT
• INCLUDED ALL AGENCY PERMITS OR COMMENT LETTERS AND RESOLVED ALL ISSUES RAISED
• INCLUDED ALL REQUIRED DRAWINGS (INCLUDING PROPOSED FACILITIES), PERMIT # FOR EXISTING
FACILITIES, SURVEYS AND PLANS
• INCLUDED COPIES OF DEEDS AND AUTHORIZATION LETTERS
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DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART III - INFORMATIONAL REQUIREMENTS FOR ALL APPLICANTS (NC & SC)
In addition to the completed application form PARTS I & 11, the following items must be provided to Duke Energy Lake Services
for all applicants in North and South Carolina:
A." A copy of the deed and registered survey plat or other instrument under which the applicant claims title to the affected
property (the shoreline adjoining the excavation area, equipment staging area and the disposal area), OR if the applicant is
not claiming to be the owner(s) of said property, then forward a copy of the deed and registered survey plat or other
instrument under which the owner(s) claim title plus written authorization from the owner(s) to carry out the project on
their land.
!R An accurate scaled drawing (1"=25' for projects <1000 cubic yards of material removed or 1 "= 100' for larger projects) of
the area to be excavated, including all the information required under Application Process - ITEM 5 of the Application
Package cover letter (Attachment 1).
Cy- An accurate scaled drawing (1"=25' for projects <1000 cubic yards of material removed or 1"= 100' for larger projects) of
the proposed design for the disposal area, including all the infonnation required under Application Process - ITEM 6 of the
Application Package cover letter (Attachment 1). Also include any erosion control plan or standard reporting form
requirements as noted under ITEM 6 of the Application Package cover letter.
A map or Duke Energy Directions by Road form showing directions to the excavation area and disposal area.
A USGS topographic map with a directional arrow indicating the exact location of the excavation project and Latitudinal
and Longitudinal coordinates for the project site.*
1`' VA list of names and addresses of adjoining property owners for both the excavation area and disposal area.
G. A copy of all permits and/or letters of correspondence to/from local, state and federal agencies that require notification or
issue individual pen -nits.
Provide the existing permit number if excavation is being conducted to maintain access to an existing facility (e.g. pier) or
provide an accurate scaled drawing of any proposed facility if a facility does not currently exist. Note: A separate
application and approval is required for proposed Private Facilities (e.g. pier).
I. A check for the application filing fee and security deposit and the signed Excavation Project User's Agreement letter.
*USGS maps may be accessed via the Internet at http://gis.enr.state.nc.us/ utilizing the following pathway: Data
catalogue/Digital Raster Graphics/specific county. Longitudinal and latitudinal information is available via the Internet at
www.mapblast.com, www.mapsonus.com or www.maptech.com.
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DUKE ENERGY EXCAVATION PERMIT APPLICA'T'ION FORM
PART IV — AGENCY REVIEWS/APPROVALS REQUIRED
A. NORTH CAROLINA APPLICANTS ONLY
I. The following agencies and the Catawba Indian Nation Tribal Historic Preservation Office require at least 30 days prior
notification for all excavations in North Carolina reservoirs. Notify them by forwarding a completed copy of this
application, including the information required under PART III A -F to:
U.S. Anmy Corps of Engineers
N.C. State Historic Preservation Office
Regulatory Field Office
N.C. Dept. of Cultural Resources
151 Patton Avenue
Division of Archives & History
Room 208
c/o Ms. Renee Gledhill -Earley
Asheville, North Carolina 28801
4617 Mail Service Center
(828) 271-4014
Raleigh, NC 27699-4617
(919)733-4763
Catawba Indian Nation Tribal Historic Preservation Office
Dr. Wenonah Haire
1536 Tom Steven Road
Rock Hill, SC 29731
(803)328-2427
What to Expect:
a) If the excavation can be done under the requirements of the General Permit (GP) or a Nationwide Permit (NWP),
you will typically receive a copy of the Corps' tear sheet documenting authorization and providing any additional
instructions. If the excavation isn't covered under the GP or a NWP, you'll be required to obtain an individual
404 Dredge and Fill permit from the Corps.
b) You will typically receive a letter from the NC SHPO documenting their concurrence with your application,
requiring additional information or recommending modifications. You must address each comment in your final
application.
c) You must receive written documentation from the Corps that your application either meets the requirements of the
GP or a NWP or that the proper 404 Dredge and Fill permit has been received before Duke Energy can process
your application.
d) If you do not receive any documentation from the NCWRC within 30 days of their receipt of your application, you
may proceed with the application process, recognizing however that if their comments come in later in the
application process, you will also be required to address them. (See exception for Commercial/Conveyance/FERC
review applications below).
e) If you do not receive any documentation from the NC SHPO within 30 days of their receipt of your application, you
must provide that agency with a follow-up letter requesting the agency comment on your proposal within 15 days
from the date of the letter. If you do not receive any response as a result of this second letter, you may proceed
with the application process, recognizing however that if their comments come in later in the application process,
you will also be required to address them. Note: This second 15 -day letter requirement also applies to the
agency reviews in PART IV.A. 1-4 when the application is for a Commercial Facility, Conveyance or other
application requiring FERC review.
2. In addition to the three entities in PART IV.A.1 above; if the proposed excavation is located in the counties listed below, the
applicant must also provide at least 30 days prior notification to the following agency by forwarding a copy of the completed
Excavation Permit Application Form (including the infonmation required under PART III A -F) to:
(For Alexander; Catawba, Cleveland, Gaston,
Iredell, Lincoln or Mecklenburg Counties)
N.C. Dept. of Environment & Natural Resources
Division of Water Resources
610 East Center Avenue; Suite 301
Mooresville, North Carolina 28115
(704)663-1699
(704) 663-6040 (fax)
(For Burke, Caldwell, McDowell or
Transylvania Counties)
N.C. Dept. of Environment & Natural Resources
Interchange Building
59 Woodson Place
Asheville, North Carolina 28801
(704)251-6208
What to Expect:
a) You will typically receive a letter providing Division of Water Resources concurrence, which may require additional
infonnation or recommend modifications. You must address each comment in your final application to Duke.
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b.
DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
b) You must receive written documentation from the NCDENR that 401 Water Quality requirements are met before
Duke Energy can process your application.
3. In addition to the above requirements, if the proposed excavation is located in Mecklenburg County, the following agency
must be provided with a copy of the completed Excavation Pen -nit Application Form (including the information required
under PART III A -F):
Mecklenburg County Land Use and Environmental Services Agency
700 North Tryon Street
Charlotte, North Carolina 28202
(704)336-5500
What to Expect:
a) You will typically receive a letter from the county documenting their concurrence with your application, requiring
additional information or recommending modifications. You must address each comment in your final application.
b) If you do not receive any documentation from the county within 30 days of their receipt of your application, you may
proceed with the application process, recognizing however that if their comments come in later in the application
process, you will also be required to address them. (See exception for Commercial/Conveyance/FERC review
applications below).
4. In addition to the above requirements, if the proposed excavation is part of a Commercial Facilities Application,
Conveyance Application, or will require FERC review, the applicant must provide at least 30 days prior written
notification to the following additional agencies by forwarding the completed Excavation Penn—it Application Fonn,
including the information required under PART III A -F:
N.C. Wildlife Resources Commission
U.S. Fish & Wildlife Service
c/o Mr. Chris Goudreau
c/o Mr. Mark Cantrell
645 Fish Hatchery Rd.
160 Zillicoa Street
Marion, NC 28752
Asheville, NC 28801
828-652-4360 Ext. 223
(828) 258-3939 Ext. 227
(For lakes Wylie, Mtn. Island, Norman, Lookout, Hickory) (For lakes Rhodhiss and James)
N.C. Dept. of Environment & Natural Resources N.C. Dept. of Environment & Natural Resources
Division of Environmental Health Division of Environmental Health
Public Water Supply Section Public Water Supply Section
c/o Mr. Britt Setzer c/o Mr. Harold Saylor
610 East Center Street; Suite 301 59 Woodfin Place
Mooresville, NC 28115 Asheville, NC 28801
N.C. Dept. of Environment & Natural Resources
Division of Parks and Recreation
12700 Rayleaf Church Road
Raleigh, NC 27614
(919) 733-4181
What to Expect:
a) You will typically receive a letter from each agency documenting their concurrence with your application, requiring
additional information or recommending modifications. You must address each agency comment in your final
application.
b)If you do not receive any documentation from an agency within 30 days of their receipt of your application, you
must provide that agency with a follow-up letter requesting the agency comment on your proposal within 15 days
from the date of the letter. If you do not receive any response as a result of this second letter, you may proceed
with the application process, recognizing however that if their comments come in later in the application process,
you will also be required to address them. Note: This second 15 -day letter requirement also applies to the
agency reviews in PART IV.A. 14 when the application is for a Conmmercial Facility, Conveyance or other
application requiring FERC review.
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DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART IV — AGENCY REVIEWS/APPROVALS REQUIRED
B. SOUTH CAROLINA APPLICANTS ONLY
1. Consultation or review is required by the S.C. State Historic Preservation Office (SC SHPO) and the S.C. Institute of
Archaeology and Anthropology (SCIAA) for all excavations in South Carolina. The applicant must submit a copy of the
completed South Carolina Department of Archives and History State Historic Preservation Office Project Review Form
(attached) to:
S.C. State Historic Preservation Office
S.C. Institute of Archaeology & Anthropology
Department of Archives and History
c/o Mr. Jim Spirek
c/o Ms. Caroline Wilson
1321 Pendleton Street
8301 Park Lane Road
Columbia, SC 29208
Columbia, SC 29223-4905
What to Expect:
a) You will typically receive a letter from the resource agencies documenting the agency's concurrence with your
application, requiring additional information or recommending modifications. You must address each agency's
comment in your final application.
b) If you do not receive any documentation from the resource agencies within 30 days of their receipt of your
application, you must provide that agency with a follow-up letter requesting the agency comment on your proposal
within 15 days from the date of the letter. If you do not receive any response as a result of this second letter, you
may proceed with the application process, recognizing however that if their comments come in later in the
application review process, you will also be required to address them.
c) For the SCIAA agency the applicant must wait 30 days after receiving the signed postal returned receipt. If a
response from SCIAA has not been received by this time you may proceed with the application process,
recognizing however that if their comments come in later in the application review process, you will also be
required to address them.
2. (For Lake Keowee only) Consultation or review is required by the Eastern Band of Cherokee Indians (EBCI) for all
excavations on Lake Keowee. The applicant must submit a copy of the completed Tribal Historic Preservation Officer
(THPO) Consultation Information Form (attached) to:
Eastern Band of Cherokee Indians
c/o Tyler Howe
PO Box 455
Cherokee, NC 28719
What to Expect:
a) You will typically receive a letter from the EBCI documenting the tribe's concurrence with your application,
requiring additional information or recommending modifications. You must address each comment from the tribe
in your final application.
b) If you do not receive any documentation from the EBCI within 30 days upon their receipt of your application, you
must provide the tribe with a follow-up letter requesting the tribe's comment on your proposal within 15 days
from the date of the letter. If you do not receive any response as a result of this second letter, you may proceed
with the application process, recognizing however that if their comments come in later in the application review
process, you will also be required to address them.
3. (For Catawba - Wateree lakes only) Consultation or review is required by the Catawba Indian Nation Tribal Historic
Preservation Office for all excavations on the Catawba —Wateree Lakes in South Carolina. The applicant must submit a
request for comments to the Catawba Indian Nation Tribal Historic Preservation Office at:
Catawba Indian Nation Tribal Historic Preservation Office
Dr. Wenonah Haire
1536 Tom Stevens Road
Rock Hill, SC 29731
(803)328-2427
What to Expect:
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DUDE ENERGY EXCAVATION PERMIT APPLICATION FORM
a) You will typically receive a letter from the Catawba Indian Nation Tribal Historic Preservation Office documenting
the tribe's concurrence with your application, requiring additional information or recommending modifications.
You must address each comment from the tribe in your final application.
b) If you do not receive any documentation from the Catawba Indian Nation tribal Preservation Office within 30 days
upon their receipt of your application, you must provide a follow-up letter requesting comments on your proposal
within 15 days from the date of the letter. If you do not receive any response as a result of this second letter, you
may proceed with the application process, recognizing however that if their comments come in later in the
application review process, you will also be required to address them.
4. If the excavation meets the requirements of the applicable General Pen -nit (GP 87-14-001) and will remove from 50 to 150
cubic yards, in addition to the entities listed above in PART IV.B.1 and 2, the S.C. Department of Natural Resources
(SCDNR) must be provided with a copy of the completed Excavation Pen -nit Application Fonn, including the information
required under PART III A -H for at least 30 days consultation:
S.C. Dept. of Natural Resources
c/o Mr. Mark Hall
206 Laurel Valley Road
Sunset, SC 29685
(864)878-9071
What to Expect:
a) You will typically receive a letter from the SCDNR documenting the agency's concurrence with your application,
requiring additional infonnation or recommending modifications. You must address each agency comment in
your final application.
b) If you do not receive any documentation from the SCDNR within 30 days of their receipt of your application, you
may proceed with the application process, recognizing however that if their comments come in later in the
application process, you will also be required to address them.
5. In addition to the entities listed above in PART IV. B. I and 2, the following agencies must be provided with a copy of the
completed Duke Energy Excavation Pen -nit Application Fonn, including the infonnation required under PART III A -H, for
all excavations not covered under the applicable General Pen -nits on South Carolina reservoirs:
(For Lake Keowee)
(Foy Catawba-Wateree lakes)
S.C. Dept. of Natural Resources
S.C. Dept. of Natural Resources
c/o Mr. Mark Hall
c/o Greg Mixon
206 Laurel Valley Road
Rembert C. Dennis Building
Sunset, SC 29685
2600 Bull Street
(864) 878-9071
PO Box 167
Columbia, SC 29602
(803)896-7767
S.C. Dept of Health &Environmental Control
Water Quality Standards & Wetland Section
c/o Mr. Chuck Hightower
2600 Bull Street
Columbia, SC 29201
(803)898-0369
What to Expect:
a) You will typically receive a letter from each entity documenting concurrence with your application, requiring
additional infonnation or recommending modifications. You must address each comment in your final
application.
b) If you do not receive any documentation from an entity within 30 days of their receipt of your application, you must
provide that entity with a follow-up letter requesting comment on your proposal within 15 days from the date of
the letter. If you do not receive any response as a result of this second letter, you may proceed with the application
process, recognizing however that if their comments come in later in the application process, you will also be
required to address them.
Duke Energy Page 10 of 11 rev 9/19/14
Excavation Program
e:\#daren\@duke permit\c-w excavation application 11.3.10.docx
DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
6. In addition to the consultation requirements specified for the agencies listed in Part IV. B. l and 2, the following agencies
must be provided with a copy of the completed Duke Energy Excavation Pen -nit Application Fonn, including the
information required under PART III A -H, for any excavation that is part of a Commercial Facilities Application,
Conveyance Application or will require FERC review on South Carolina reservoirs:
U.S. Anny Corps of Engineers
Regulatory Functions Branch
c/o Mr. Colton Bowles
1835 Assembly Street
Room 86513-1
Columbia, SC 29201
(803)253-2400
US Fish and Wildlife Service
c/o Ms.Amanda Hill
176 Croghan Spur Road, Suite 200
Charleston, SC 29407
(843) 727-4704 ext. 12
S.C. Dept. of Parks, Recreation & Tourism
c/o Mr. Tony Bebber
Edgar A. Brown Bldg.
1205 Pendleton Street
Suite 110
Columbia, SC 29201
(803) 734-0189
S.C. Dept. of Health & Environmental Control
Water Quality Standards & Wetlands Section
c/o Mr. Chuck Hightower
2600 Bull Street
Columbia, SC 29201
(803)898-0369
S.C. Dept. of Natural Resources
c/o Greg Mixon
Rembert C. Dennis Building
PO Box 167
Columbia, SC 29202
(803)896-7767
What to Expect:
a) You will typically receive a letter from each entity documenting concurrence with your application, requiring
additional information or recommending modifications. You must address each comment in your final
application.
b) If you do not receive any documentation from an entity within 30 days of their receipt of your application, you must
provide a follow-up letter requesting comments on your proposal within 15 days from the date of the letter. If you
do not receive any response as a result of this second letter, you may proceed with the application process,
recognizing however that if their comments come in later in the application process, you will also be required to
address them.
PART V - ADDITIONAL INFORMATION
(Reference previous parts as applicable. If more pages are needed, add a suffix to last page (e.g. 12a, 12b, 12c, etc.)
Duke Energy Page 11 of 11
Excavation Program
e:\#daren\@duke permit\c-w excavation application 11.3.10.docx
rev 9/19/14
DUKE
,f,
";P EERY
EXCAVATION PROJECT USER'S AGREEMENT LETTER
(Please fill in the blanks. Please Print)
Date
TO: Duke Energy
c/o Lake Services - EC12Q
P. O. Box 1006
Charlotte, NC 28201-1006
RE: Excavatio For (Subdivision and Lot #'s or Other Project
Name) ir- h
(Lake/County/City) N C)jr1MCt1 / (If], +0 %Aj fir,
(Duke File No.)
Lake Services
Duke Energy
526 South Church Street
Charlotte, NC 28202
Mailing Address:
EC 12Q / PO Box 1006
Charlotte, MC 28201-1006
(Applicant's full name) � l c-. ar ® 64orch hereby agrees to comply
with all recommendations, requirements and/or conditions of Duke Energy Lake
Services, General Permit(s) (if applicable) and other federal, state and local agency
requirements pertaining to the application to excavate for the purpose of a
boas t:I p acc es s
In addition, I/we have read and agree to comply with Duke's current Shoreline
Management Guidelines (SMG), much of which is repeated hearin, and understand that
written authorization must be obtained from Duke Energy Lake Services prior to
beginning any activity within the FERC project boundary or on Duke Energy land. The
excavation will be completed as described in the approved application and within
eighteen (18) months from the date of written approval by Lake Services, unless
specifically noted otherwise in the application or unless I/we obtain approval for a single,
time extension (maximum of one year) in writing from Duke Energy Lake Services. 1/we
understand that if the SMG or other applicable rules change during any extension period,
I/we will be expected to comply with the new requirements to the maximum extent
practicable. I/we also recognize that failure to complete the excavation within this build-
out period will require the filing of a new application within the then -current SMG and
that the new application must include any applicable fees and security deposits.
www.duke-energy.com
I/we attest to be the owner(s) or lease holder(s) of the land immediately adjoining the
project boundary or Duke -owned peripheral strip where the excavation activity is to take
place, or if not the owner or lease holder, I/we have included proof of title to the property
and written authorization from the owner(s) or lease holder(s) to carry out the proposal
within the project boundary adjacent to their land.
I/we attest to be the owner(s) or lease holder(s) of the land that will be used for
equipment staging and disposal of excavated material or if not the owner or lease holder,
I/we have included proof of title to the property and written authorization from the
owner(s) or lease holder(s) to carry out the work on their land.
I/we understand that all excavation work must be done directly in front of my/our
property and within the third of the cove nearest my/our property or within any middle
third of the cove that Duke Energy owns, or I/we have written authorization from the
owner(s) or lease holder(s) to carry out the proposal within the project boundary adjacent
to/on their land. I/we also understand that access channels must run perpendicular to the
shoreline while within the third of the cove area that is nearest my/our property.
I/we understand that for proposed excavations , I/we must notify the appropriate local,
state and federal agencies in advance of the activity by sending them a completed copy of
Duke's Excavation Permit Application Form and other required information. I/we
understand that written authorization and/or other permits may be required by some of
these agencies and such required authorizations must be obtained before I/we submit the
final application to Duke Energy Lake Services.
I/we understand that except for maintenance excavations, any excavation exceeding 2000
cubic yards of material removed or any excavation or shoreline stabilization work needed
to support an application that requires Federal Energy Regulatory Commission (FERC)
review does itself require specific review and approval by the FERC before Duke Energy
can issue any approvals.
1/we agree that unless specifically approved otherwise in the application, explosives will
not be used as part of this excavation activity.
I/we understand that every reasonable effort must be made to minimize any adverse
impact on fish, wildlife and other natural resources.
1/we understand that applicants in South Carolina proposing excavations that are not
covered under the General Permit, or are greater than 150 cubic yards, must receive prior
written authorization from the South Carolina Department of Health and Environmental
Control (SCDHEC) or the US Army Corps of Engineers (as applicable) before
submitting the completed application to Lake Services.
Duke Energy Page 2 Rev: 9/15/06
EXCAVATION APPLICATION Effective Date: 11/15/95
GpaVLAKEMGNIT/Package Information /NC C -W Dredge/Escagre9.15.06.doc
1/we agree that excavation activities in North Carolina and South Carolina will not occur
during the months of March, April, May and June because of the potential impacts to fish
spawning areas.
I/we understand that trees and vegetation growing within or adjoining the lake play an
important role in its overall environmental condition, and the ecological benefit the
vegetation has on fish and wildlife habitat directly supports a sound and healthy lake
environment. I/we also understand that unauthorized removal of shoreline vegetation (e.g.
button bushes, willows, cattails, etc.) and/or disturbance of the shoreline buffer may
result in suspension or denial of lake use permitting requests, forfeiture of security
deposits and require re-establishment of vegetation at my/our expense, particularly if the
disturbance is found to be in violation of state or local ordinances or impacts FERC
project buffers.
I/we agree that all excavated material will be placed in upland areas, landward of the
project boundary, and confined to prevent erosion and sedimentation back into the lake or
nearby streams.
I/we agree to adequately stabilize all excavated material and all disturbed shoreline to
prevent erosion and runoff into the lake.
I/we understand that the double handling of excavated material will not be allowed;
therefore, all excavated material must be placed above the project boundary in one
handling.
.1/we have designed the hydraulic excavation process (if any will be used) so that return
water re-enters the lake in the same general vicinity and cove as the excavation, to the
maximum extent practicable.
.1/we agree that the proposed excavation will not be for the purpose of creating additional
shoreline, will not alter the project boundary or the full pond contour, and will not impact
threatened or endangered species, historic properties, or environmentally -important areas,
unless special public entity provisions were made in the application.
I/we recognize that it is my/our responsibility to clearly locate in the field and label on
my/our work area drawings any areas that require specific protection or avoidance during
this excavation work. Examples of these protection/avoidance areas include but are not
limited to, any Environmental Areas, Natural Areas or Impact Minimization Zones as
identified by Duke; jurisdictional wetlands; historic properties; rare or threatened species;
and buried gas, water, sewer, electric or communications lines. I/we agree to provide
my/our contractor with a copy of these work area drawings showing these areas to stress
the necessary protection measures.
I/we agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.)
are discovered during the excavation, work shall be halted immediately. I/we will then
notify Duke Energy Lake Services and the State Historic Preservation Office to
Duke Energy Page 3 Rev: 9/15/06
EXCAVATION APPLICATION Effective Date: 11/15/93
GpaVLAKEMGMT/Package Infortnation/NC C -W Dredge/Excage9.15.06.doc
determine what measures, if any, I/we must pursue to protect or salvage the
archaeological resources.
I/we agree that any excavation from within the project boundary will not exceed the
volume as outlined in the application and will remove and disturb only what is absolutely
necessary to achieve the project's stated purpose.
I/we agree to be fully responsible for the permitted lake use and I/we understand that this
responsibility is considered to transfer automatically along with ownership and leases of
the adjoining tract.
I/we understand that Lake Services representatives may issue Stop Work Directives for
any violations of the SMG and that other consequences may result from such violations,
including but not limited to suspension or cancellation of approved permits, increases in
fees, modification or removal of non -complying structures and restoration of disturbed
areas at my/our own expense or loss of any consideration for future lake use permits.
I/we agree to immediately comply with any Stop Work Directives, to fully cooperate with
Duke Energy Lake Services and other agencies as necessary and to perform the necessary
remedial actions within the specified time frame.
I/we agree to develop any required mitigation plans and to complete any required
mitigation activities at my/our own expense within the specified time frames. I/we
recognize that the excavation work is not considered complete and deposits will not be
refunded until the mitigation requirements (if any) have been satisfactorily fulfilled.
I/we agree to notify Lake Services by phone when the excavation is initiated and to
ensure that during the excavation period, the weather-proof "Duke Energy Approved
Lake Use Activity" sign (to be provided by Duke Energy) remains posted at the job site
and visible from the water's edge.
1/we agree to notify Lake Services in writing when the excavation is completed
(including any required mitigation measures) and that the excavation was completed per
the approved application, so a close-out inspection can be performed.
I/we have included a check for the applicable filing fee and security deposit, and copies
of all other necessary permits. I/we recognize that security deposits will not be refunded
if any violations of the SMG or this user's agreement occur.
I/we understand that there will be no change in hydro project operations as a result of the
excavation and/or utilization of the excavated area.
I/we agree to maintain the work area in a safe condition and to fully indemnify and save
Duke Energy harmless from any and all claims, liability, loss or damage that may arise
from this excavation project.
Duke Energy Page 4 Rev: 9/15/06
EXCAVATION APPLICATION Effective Date: 11/15/98
Gpal/LAKEMGMT/Package Information/NC C -W Dredge/Excagre9.15.06.doc
1/we understand that this user's agreement does not, in any way, constitute the transfer of
any rights in real property and that my/our use and enjoyment of FERC project lands and
waters shall not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
"R16\CLV_d 5 +0 ,
Applicant's Name (Print) Lot # Applicant's Signature
*Co -Applicant's Name (Print)
*Co -Applicant's Name (Print)
*Co -Applicant's Name (Print)
*Co -Applicant's Name (Print)
Lot # *Co -Applicant's Signature
Lot # *Co -Applicant's Signature
Lot # *Co -Applicant's Signature
Lot # *Co -Applicant's Signature
* Co -Applicants exist when the proposed work is being done under a single application, will be performed
by a single contractor as one continuous project and is done to benefit multiple owners / lease holders of
project -front properties within a single development. The check for the application filing fee and security
deposit should be from the party shown as Applicant and not several checks from the Applicant and Co -
Applicants. By signing this agreement, Co -Applicants are in fact recognizing and agreeing to the same
conditions as is the party signing as Applicant.
Duke Energy Page 5
EXCAVATION APPLICATION
GpaPLAKEMGMT/Package Infornnation/NC C -W Dredge/Excagre9.15.06.doc
Rev: 9/15/06
Effective Date: 11/15/93
CATAYDA COUNTY 12-86-89
8257
$TATf aaRTN - $:L87. 0 0
V' RealEstate
ExxciseeTax
BooK 2239PAGE 3207
FILED
RU i I1 ", 0KIE
RNI OEC 6 PIS 1 19
(iECIS ' "' DEEDS
CATAW0,1% W., N.C.
Filed December 6, 2000 at 1:19 P -M.
and recorded in Book 2239 Page 327.
Recording Time, Book and Page
Tax Lot No.: out of Parcel Identifier No.P/O 4628-01-08-2779
Verified by County on the day of . 19
by
✓ Mail after recording to Grantee
This instrument was prepared by Crescent Communities ry c ine.tu.yauer)
Brief Description For The Index: i32445
LOT(S) 103 PI-IASE E No )1TF(V1EWARBQUR SUBDIVISION
N�
NORTH CAROLINA'y, £CIAVWARRANTY DEED
THIS DEED made this fourte�ent day-I1Vovember, 2000, by and between
-n
GRANTOR v GRANTEE
CRESCENT COMMUNITIES N.C.. INC., I RICKY S. STORCFI and wife,
a North Carolina corporation -TAMARA A. STORCH
RO. Box 1003 2591 CLINTON STREET
Charlotte. North Carolina 28201.1003 ATTICA. NEW YORK 14011
The designation Grantor and Grantee as used herein shall include said parties, their heirs. successors and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which
is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee
in fee simple, all that certain lot or parcel of land situated in Mt. Creek Township, Catawba County, North
Carolina and more particularly described as follows:
BEING all of Lot(s) 103 phase 2 (the "Lot") of NorthView flarbour Subdivision (the
"Subdivision") as shown on the maps thereof recorded in Map Book 51 at pages 164 and 165 in the
Office of the Register of Deeds for Catawba County, and any amendments or supplements thereto (the
"Map"). and all and singular, the rights, memberships. hereditaments and appurtenances to said Lot
belonging or in any way incident or appertaining. including but not limited to all improvements of any
nature located on the said Lot and all easements and rights-of-way appurtenant thereto. and being a
portion of the property conveyed to Crescent Communities N.C., Inc. by deed from Carolina Centers,
LLC, and Crescent Resources, Inc.. recorded in Book 2157 at Page 1060 in the Office of the Register of
Deeds for Catawba County.
LlW al
J
BOOK 2 M ME 3 2 $
This conveyance is made subject to (and is conveyed together with, as the case may be) the following
easements, reservations, covenants, conditions and restrictions which shall run with the land and be
binding upon Grantee and Grantee's heirs, successors and assigns. Nothing heroin shall be held to
impose any restriction on any land of Grantor not hereby conveyed:
1. All easements, reservations, covenants, conditions and restrictions of record, including
but not limited to those easements, reservations, covenants, conditions and restrictions
contained in that document entitled "Declaration of Covenants. Conditions and
Restrictions — NorthView Harbour', recorded in Book 2178 at Page 1868 in the Office of
the Register of Deeds for Catawba County, as may be supplemented and/or amended
from time to time (as so supplemented and amended. the "Declaration").
2. By accepting this deed Grantee signifies his understanding that Duke Power Company
has certain privileges and easements affecting the property hereby conveyed which
include the right. privilege and easement of hacking, ponding, raising, flooding or
diverting the waters of Lake Norman and its tributaries upon and over said property. as
more specifically described in instruments recorded in the office of the Register of Deeds
for Catawba County.
3. By its acceptance and recordation of this deed, Grantee acknowledges for itself and its
successors and assigns as follows: Duke Power Company controls access to, use of and
water levels in Lake Norman. Grantor makes no oral, express or implied representation
or commitment as to the continued existence, purity, depth or levels of water in Lake
Norman. or the continued use of any dock, pier. boatslip or similar dock facility, and
Grantor shall have no liability with respect to these matters. Grantee must receive
permission from Duke Power Companv (or a,successor manager of Lake Norman under
authority from the federal Energy Rcgulalo►yV Commission) prior to placing or
constructing a Fxratslip. or an, related�ptcr. st c Oji or other improvement within or
,�¢La;?
upon, or conducting any activity alt ring)he iopograp y of, the hydroelectric project
surrounding and encompassing t1teaters'ni�akelrman. Grantor makes no oral.
express or implied representatRA or commit cnC as to the likelihood of Grantee
obtaining such permission.
i.
4. Sewer. ,voter, electric. gas. telepho cahle,,teiei•ision and other easements shown on the
recorded plat of ther�+ert,y as othrwi a world be disclosed by a current, accurate
physical survey of th ,i+ropco ,„
r 4p SP Y
5. By accepting"tEjts deed("rranleBcknowledgcs for itself and its successors and assigns
that Grantor. the' _ rty. owners association established under the Declaration, and/or
the developer, and/or c' n governmental or quasi -governmental agencies, has or may
have the right to construct, install, excavate. dig. build. maintain, operate, remove and
reinstall septic lines. pipes. and related equipment and apparatus in and upon the road
right-of-way located adjacent to the boundary line of the Lot conveyed herein. Upon
request of Grantor. Grantee for itself, its heirs, successors and/or assigns, hereby agrees
to execute any enroachmeni agreement required by the North Carolina Department of
Transportation (N.C.D.O.T) prior to N.C.D.O.T.'s acceptance of the streets for
maintenance.
TO IiAVF. AND TO HOLD the aforesaid Lot and all privileges and appurtenances thereto
belonging to lire Grantee, Grantee's heirs, successors and assigns in fee simple.
And said Grantor covenants with said Grantee that Grantor has done nothing to impair such title as
Grantor received, and that Grantor will warrant and defend said title to the same against the lawful claims
of all persons claiming by, under or through Grantor, except that this conveyance is made subject to the
casements• reservations, covenants. conditions and restrictions set out above, or of record, and to the taxes
for the current year which Grantor hereby agrees to pay.
iN WITNESS WHEREOF. Grantor has caused this instrument to be signed in Grantor's
corporate name by Grantor's duly authorized officers and Grantor's seal to be hereunto affixed by
authority of Grantor's Board of Directors, the day and year first above written.
n4tW.ol
Lla: CH
ow 2239puE 329
ATTEST: CRESCENT COMMUNITIES N.C., IING.41"1111 h! 11 f I ,'I,
e North �"
tion `'
Assi Z ITS: Vi It
94
[CORPORATE SEAL],,
STATE OF NORTH CAROLINA
� �''�1•rrnnrr""
COUNTY OF MECKLENBURG
1, Debbie J. Bauer, a Notary Public for the State of North Carolina and said County. hereby
certify that James L. Page personally came before me this day and acknowledged that he/she is
Assistant Secretary of CRESCENT COMMUNITIES N.C.. INC., a North Carolina corporation, and that
by authority duly given and as the act of said corporation, the foregoing instrument was signed in its name
by its Vice - President. sealed with its corporate seal and attested by him/her as its
Assistant Secretary.
WITNESS my hand and official seal, this thfourteent day o ember, 2000.
otary Pub1
My Commission Expires:
July 15, 2001
[NOTARY SEAL]
STATE OF NORTH G
CATAWBA COUNTY
The foregoing certificate
Carolina is certified to be
RUTH MACKIE. REGISTER OF DEEDS
aw
4�`a Notary Public of Mecklenburg County. North
6th day of December ,2000.
1140W.0t
ua: CM
.a
3279-0689
FILED CdOM8 CGU*
on Mar 02, 2015 at 02:27:00 pm
BtclSe Tai $2340.W (AT)
nw. v03205
00UNA MCRS SMCER,
Rte of Owe
Ek 03279 P90689-0691
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 2.340.00
Parcel Identifier No. Verified by County on the _ day of 20_
By:
Mail/Box to: The Jonas Law Firm, PLLC, 2279 North N.C. 16 Highway, Denver, NC 28037 / -/ FW. ErrAQ
This instrument was prepared by: The Jonas Law Firm, PLLC , 2279 North N.C. 16 Highway, Denver, NC 28037
Brief description for the Index:
THIS DEED made this 26th day of February , 2015 by and between
Michael L. Hamby and wife, Richard E. Storch, Jr. and wife,
Cheryl L. Hamby Esther R. Storch
3654 Brooks Lane 900 Chesterfield Dr.
Terrell, NC 28682 Napoleon, OH 43545
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g
corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context. �-^.�,
WITNESSETH, that the Grantor, fora valuable consideration paid by the C3 n"e.ithereceiptofwhichisherebyacknowledged,hasand
by these presents does grant, bargain, sell and convey unto the Grnnteiti fee sMple, uw t certain lot or parcel of land situated in the
City of Mountain Creek ^s Tow�i, iS, atawba County, North Carolina
and more particularly described as follows: f a✓'' �'S, ;4' '',Y
y, 4
See Exhibit A attached hereto and incorporated herein by reference'#
The property hereinabove described was acquired bytontor by instrument recorded in Book 2523 page 573
All or a portion of the property herein conveyed X includes or _ does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book 16 page 12
NC Bar Association Form No. 3 ® 1976, Revised ® 1/12010
Printed by Agneemenl with the NC Har Associmion
3279-0690
Richard Storch, Jr.
Esther Storch
3654 Brooks Lane
Terrell, NC 28682
Exhibit A
All that certain parcel of land situated in Catawba County, North Carolina and more particularly
described as follows:
TRACT ONE: Being all of Lot No. 75 in Section 30 of Crescent Land and Timber Corp. Subdivision as
shown on map recorded in Map Book 16, at Page 12 in the Office of the Register of Deeds of Catawba
County.
TRACT TWO: Beginning at a #4 rebar, the common corner of Lots 75 and 76 in Section 30 of Crescent
Land and Timber Corp., Lots as shown on map recorded in Map Book 16, at Page 12 in the Office of the
Register of Deeds of Catawba County; thence a new line, South 42°18'48" East 2.81 feet to a #4 rebar;
thence with edge of Lake Norman, South 52°40'27" West 105.75 feet; thence South 19°25'10" West
41.49 feet; thence South 86°49'05" West 41.66 feet to a #3 rebar, the common corner of Lots 73 and 75
of the Crescent Land and Timber Subdivision, Section 30 as shown on Map recorded in Map Book 16, at
Page 12 in the Office of the Register of Deeds of Catawba County; thence North 18°26'00" East 69.56
feet; thence North 49'52'00" East 150.78 feet to the point of BEGINNING, containing 0.102 Acres, more
or less.
TITLE REFERENCE: Book 2523, Page 573 Catawba County Registry.
" "N' f
ti
3279-0691
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple. ��
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in of e
simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions: Valid and enforceable restrictions, right-of-ways
and easements that appear in the record chain of title.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year Arfirst above wrin
SEAL
(Entity Name) PnnttType Name: 1, ichae L. Hamb
By:
l SEAL
Print/Type Name & Title: Print/fyp ame: e 1 L.
By: (SEAL)
Print/Type Name & Title: PrinVl'ype Name:
By:
PrinVType Name & Title: PrinuType
State of North Carolina - County or City of Lincoln
1, the undersigned Notary Public of the County of Gkyr ofijtvtcoin and State aforesaid, certify that
Michael L. Hamby and wife. Cheryl L Hambv.�,TAt 7''. personally appeared before methisdayand
acknowledged the due execution of the foregoing it"'W m for the p ;4therein expressed. Witness my hand and Notarial stamp or
seal this 26th day of Feblvary
RC1 z
My Commission Expires: March 27.2016p U ev ;: Claudia E. Talbot Notary Public
(Affix Seal) '',/l� _ �a,; Notary's Printed or Typed Name
State of -County or City of"" I 1111 '"
I, the undersigned Notary Public of the County or City of and State aforesaid, certify that
personally came before me this day and acknowledged that _he is the
of , a North Carolina or
corporation/limited liability company/general partnership/limited partnership (strike through the inapplicable), and that by authority
duly given and as the act of such entity, _he signed the foregoing ins! ent it its name on its behalf as its act and deed. Witness
my hand and Notarial stamp or seal, this _ day of � 4r .. ','. 40_
My Commission Expires: rwi Notary Public
(Affix Seal) Notary's Printed or Typed Name
State of - County or City oft \ ` * :'1/
f, the undersigned Notary Public of the 60`r-ityor City of V and State aforesaid, certify that
Witness my hand and Notarial stamp or s6t':wthis a- day`Afj� , 20_.
My Commission Expires: Notary Public
(Affix Seal) Notary's Printed or Typed Name
NC Bar Association Form No. 3 0 1976, Revised® 11112010
Printed by Agreement with the NC Bar Association
.n.CAKO -
N.tUeunc couNrr
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LOT 94
0.67 ACRE w
`
IN
X- A=31: 3-7.44 a .i
'o
yc.95,
Fs
' LOT ACR95
�0. 74 E
� J.
/- \ e v
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CONT. ON DWG.
W. C. F. 30-8
SCALE: 1- 7 2 ----
30
.
/(: 4,00<Cp \
•�S 8"S
0
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0 g9
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LOT B9 E
0 69 ACR
Ip
N Q
BEARINGS AND DISTANCES FOR LOTS ON CONTOUR ELEVATION 760
LOT 97
I. N78942'E-50.2+1
LOT 86
46. S62s47W-25.50
LOT 77
82. N66°24'E-41.76'
LOT 72
107. N49s18'W-60.13'
2. N139222'E-57.91'
47. N84207'W-43.08'
B3. NB5,206'E-80.00
IOB. N52s15'W-131.75
3. S612 3'E -57.-i5'
48.'72227 W-35.02'
'W
84. 553s 35'E-18.17'
LOT 71
LOT 96
4. S52258'E-33.54'
49. 549e 5 -43.H
7r ¢
50. SBI -48 W-32.93
85. $60s34'E-24.52'
Bfi. SO o46 E-31.62 ,
87. 541-53 W-21.93
109. N48256'W-IlO.lfi
IIO. N45s45W-55.00'
5. 572s06'E-115.01'
S. S66253E-32.32'
LOT 85
51. S26221'W-43.57'
88. 519257 W-100.0
69. 530432'W-71.81
III. N3B?41'W-56.07'
112. N59901'W-67.14'
LOT 95
7 N23257W-39.95'
52. 526s42'W-35.00
53. 536200'W-20.40
90, S3s38'%!0.62'
91. 539207 W- 27.35'
FROM LOT 71
TO LOT 69
11 N71239E-8.30
54. S26242'W-59.25
LOT 76
113. N59201'W-9.02'
S. N52sIB'E-21.19'
10. N71235E-20.00
LOT 84
55. 530s 30'E -85.Ifi
92. S6226'W-25.00'
93, S68256'W-27.73'
114. N16 -20',W:116.51'
N54s5W63.71'
11. N86211'�i52 5'
12.'54250 E-20.80'
S6, 573240E-39.05'
SI6296'E-13.60
gq, S30210'W-30.81
115.
116. N80209'W-9.87'
13. N6248'E-25.31'
S7.
58. 554246W-16.01
95. 556248'W-25.71'
%. S31259'W -30.60'
LOT 69
14. '7230 W-44.01'
\�
59. S23255W-50.00
97 S47240'W-65.94'
117. N80209'W-25.11
\\ LOT 94
15. N0240'E-67.22'
60. 523255,'W'-37.34,'
61. S59255,W-48.24,
LOT 75
IIB. 589207'W- 85.84
76.07
119. N73245W-76.07'
16. NI2236 E-151.93'
62. 521226 E-22.58
LOT 82
98. S49252'W-150.76'
56'
p %. SIB26W-69.
Dq LOT -1 63. N821226'E-22.55
�oq1; 17. N24201'E-162.38' 63. NBBs20'E-157.20' LOT 73
LOT 88 3 ,1 IB. N66206'E-52.61' 64. S33247'W- 5.00' 100. S4122BE-65.00 -
0.71 ACRE 19. 569213'E-26.29 65.590239E-4O.0O' 101. 513259�E-80.11'
66 S20°O6'E-42 72' 102. SI7s22 W-35.56'
LOT 87
0. 75 ACRE
S
/N4 y3Sf�
0. ggT B6
ACRf �
0
0" es
4 ACRf AII;
^1 J 30
ACRES
W
2:8; `
^�� 1 A- 2
Z APIN 47'W R=NS e
64
7
18.00' RN12B.54,
R"57G' A lC
46 I
L y 02 A,g6.6�0
CV
F •e? a 'mss
6'
aaa S3 a� 9pPF
r J\v-
20.S57el5E-23.86,
'P
c 703. S472004-90.00`21. S26255'E-85.1267. S59 33'E-46.32'
72. 514141 -30.42' LOT BO 104. 573216 W-59.39'
I PI 123.520"03'W-45.84' 105. N74237'W-54.23'
1.01 , ) 68 N79 s41'E-35.90 106. N41248'W-86.68 „A- •l
LOT 92 69. N46221'E-80.05''}
f/ 24. N58230'E-27.73 70. N71143 E-70.25'
25 N79215'E-35.13' 71. N83220'E-49.22' 1;'
26. N72250 E-50.99' LOT 79 '�1 o w LOT 77 •il,
I 2l S55250E-32.65 72. N72258'E-41.48' ' o� 0.77 AC 11
f 28.585-03E-21.32' 73. N41257E-51.92' X60 z. _ RE
Q \I'
LOT 91 74. N76202'E-47.43'
29. S52214'E-55.23'
75. N57s3 E-30.00 yi4•
•�11. 30. N66° -00E-129.55 76. N11 -o 1 E-29.00' P ob'
77, N82"49 E-21.11 i% J zzr, 3
31. S89 -29'E -32.31' LOT 90 LOT 78 Q` j �� P%0j3 /
••� 32. S76213'E-80.90' Te. N84s29'E-15.52' O �� S4 •: 84'
33. S282 I'E-37.73' 79. N7O222'E-140.01' �. OLOT 7 ^ 2 34 EC
34. S22250'E-72.04 80. N60205'E-60.82 �; •6'3 AC8 °m 77b�k4e N
35. SI210'W-94.70' el. N72209'E-87.74' j of �J SANE <<
LOT 89
36. 55213'x-130.33
37. 58246 W-51.68 /jy W�/e Jg4,p �0.6T T6 0
LOT 88 /'� 22/ �W r4CRE
38. S0256'E-51.00 ///� e 'p
39. SI9207'W-65.77 //%/'`p`V 4.0y.
yOj / I
40.SI0223'W-72,86' /I,l 0 OT T - CP 2s BEF
LOT 87 / ��0 . j4 4; S9 49'
41.S45204'W-55.45' Rf ^• •a / P/ry /
42. S52244'W-46.58'
43. SI5222 W-49.77' %/ 1 ,�4' 0' "�I LOT �1
45. 574222Vt-215.75' :y '9623/ W_18�.39 P I.
AOReg 1.
/,.
�• � 4 0� L P7p _ /
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9T ACRf 80 gro 5
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mw :�o'}I.Iryp / �6 ���d��, //Ah• h,y0°�JA =..t9 7.. P\��IIN N0
.4PIN
R`70. 0' 0
� ✓ _ 9 50.01`P
h1 N
Js 6,
241 411 S47 ! p
2.5"'
: 201.00' q 2E ! Ng7e' r4
!A 0.67 ACRE a e /a" .S
$ 3?s4, \ \/p4'p �J�,` / �N 38.85 4_3g r9L49P<aJiaNp`•�-/? rr5s-_6L_ 8A�R.0.R.M�O- _"-\1569Oi�_ p/_9Pppp2(y !1N \7i6r �\�\\_a_�0•��68fO3�)
40
ACRT
7-1
0T 9157
E304CRf3 ;7 0
11
06ACR
i f
2ro
NORMAN 67
I
NOTE :
ALL STREET CORNER RADII ARE 20 FEET.
PROPERTY LINE DISTANCES ARE COMPUTED TO
POINT OF INTERSECTION AT STREET CORNERS,
DUKE POWER COMPANY TO CRESCENT LAND B TIMBER
CORP. DEED BOOK 947, PAGE 632. MAY I, 1969.
BUILDING SETBACK LINES ARE 30 FT. FROM ROAD
RIGHT OF WAY LIMIT, 50 FT. FROM CONTOUR ELEV.
760 U. SrG. S. SEA LEVEL DATUM AND IS FT. FROM
CRESCENT LAND S TIMBER CORP.
LAKE NORMAN
MAP OF
RECREATION LOTS
SECTION 30
LOTS 69, 71-73, 75-80, 82, 8, 84-97
MOUNTAIN CREEK TOWNSHIP
CATAWBA COUNTY, N. C.
SCALE: I" = 100' AUGUST 18, 1975
MISC. BOOK NO. 298 DWG. No. C. F. 30-C
0 100 200 300 400
SCALE IN FEET 7o P, 16-/2
P
H
earth
40 -ft wide with
%required slopes
Dredge to 10 -ft at full pond
70 -ft long with required slopes
Rick Storch
3654 Brooks Lane
Terrell, NC 28682
.1,t
CD
m
a4 q
r:
I
7G
cis
DUES ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project site
canhavea big impact on permitting processing time. Please complete this form and return it along
with your completed application to:
DUDE ENERGY
C/O LAKE SERVICES — EC 12 Q
PO BOX 1006
CHARLOTTE, NC 28201-1106
1-800-443-4193 or Option 5
Applicant's Name: :B I C , � S%rCh
Street Address (at lake): L�(D 54 3cnn K5 Lone,
Lake Name: Afo ry n axi
Subdivision Name: ! V a r'' �b V I eyV �ar hnU✓'
Property Section: 2hase It Lot #: 175
City: 7P_ rye I I County: (a 7LCtyy ba
State: NG Zip: 296) gZi
Telephone: 41q- 5-7 ,15
Directions (from major road or highway): 1-17 JVorf-h, yurn /CO- m
IVC- I 5 W `Turn l e Ff- on fD Gr-eer, woad 7�d , 7ioa d -�urn,5
r' h+ -an d becomes Gov- on 5+ I� -P 0-WAO Le I-ar7d 7,Dr;ve�
b.a-� pn W 4ery ieW ,. Ie fy ova to 6rpo�s &ne .
Descry tive Structures on Property (i.e. brick garage, white fence, mobile home, etc.)
ul Dne- S vis te, l e-ve � h0nie, on1�-�--
*Note: Please use the back of this form if desired to draw us a map to the site.
USGS
science for a changing world
81'00'
T30"
.20OOmN
3941
3940
3939
3938
U.S. DEPARTMENT OF THE INTERIOR
U. S. GEOLOGICAL SURVEY
501 "OnmE i
'02
'03
57'30"
'04
The National Map
US To p o
'05 506
All,
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List of Names of Adjoining Property Owners
Excavation Neighbors
James E. Crompton, III
3636 Brooks Lane
Terrell, NC 28682
Ralph T. Hays, Jr.
3757 Waterview Lane
Terrell, NC 28682
Disposal Neighbors
Harold Edwin and Cherie C. Stutts
8585 E NC 150 Hwy
Terrell, NC 28682
L4 M 2 POOH v
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ELEVATION = _�• SCALE: 3/16•=1'-0"J;F
epn
LOCATION PLAN
�.,. SCALE' 1'=50'
TTT ALL PROPERM PROJECIgN LINES ARE ESTUNUTD
a OWXEN 5 RESPONSIBLE FOR 1/S RNE COME. 20'
OEEPRWECiIOX LHETOTHER OUCWPLY MIH ALL pNEN
POWER AND COUNM1 REGULATIONS. OWNER 5 iO L i
USE SURVEYOR TO PROPERLY tO(AOE PIER M ,{ B
MEET COKE ENERGY AND CWXtt REGULATIONS. p =
f O• tl a
UAT-T. 11 H.M..
s6 W
4311
RICK 510RCH 'as �� _ . ®PPXE TO NOLM
3654 BROOKS LN. �\ 2r OR X0
CATAWBA COUNTY, NC RY�f\y
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